• 한국보건간호학회지
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• 제15권2호
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• pp.334-341
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• 2001

The purpose of this study is to examine to control of glucose level and the occurrence of chronic complications of diabetes by compliance groups with health care regimen The subjects were consisted of 300 out patients with type 2 diabetes mellitus from beginning of March through the end of April in 2001, who visited at the endocrinology department at Kangnam St. Mary's Hospital of Catholic University in Seoul. The patient's compliance level with health care regimen was assessed at questionnaire. However, the blood glucose level and the occurrence of chronic complications of diabetes were assessed at medical record review. The data were analyzed by SAS program for chi square test and t-test. The results were as follows. 1. Significant differences were found among the factors such as duration of diabetes, the number of participation of diabetes educational program, job, smoking, self monitoring of blood glucose and the methods of diabetes therapy between high and low compliance groups. High compliance group patients had a diabetes longer than low compliance group patients. High compliance group patients more frequently attended the educational program and checked themselves monitoring blood glucose than low compliance group patients. Also, they did not work recently, smoked less and got more insulin injection therapy compared to low compliance group patients. 2. No significant differences were found among the result of fasting blood glucose. 2-hour postprandial blood glucose, and $HbA_{l}c}$ between high and low compliance groups. 3. The occurrence rate of macrovascular complications of chronic complications of diabetes were lower, however, the occurrence rate of microvascular complications were higher in high compliance group than in low compliance group with health care regimen.

• Journal of Computing Science and Engineering
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• 제10권3호
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• pp.75-84
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• 2016

Medical cyber-physical systems (MCPS) integrate sensors, actuators, and software to improve patient safety and quality of healthcare. These systems introduce major challenges to safety analysis because the patient's physiology is complex, nonlinear, unobservable, and uncertain. To cope with the challenge that unidentified physiological parameters may exhibit short-term variances in certain clinical scenarios, we propose a novel run-time predictive safety monitoring technique that leverages a maximal model coupled with online training of a computational virtual subject (CVS) set. The proposed monitor predicts safety-critical events at run-time using only clinically available measurements. We apply the technique to a surgical glucose control case study. Evaluation on retrospective real clinical data shows that the algorithm achieves 96% sensitivity with a low average false alarm rate of 0.5 false alarm per surgery.

• 약학회지
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• 제46권5호
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• pp.331-336
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• 2002

The purpose of this study is to develop a non-invasive blood glucose measurement method by a portable near infrared (NIR) system which was newly integrated by our lab. The portable NIR system includes a tungsten halogen lamp, a specialized reflectance fiber optic probe and a photo diode array type InGaAs detector; which was developed by a microchip technology based on the lithography. Reflectance NIR spectra of different parts of human body (finger tip, earlobe, and inner lip) were recorded by using a fiber optic probe. The spectra were collected over the spectral range 1100 ∼ 1740 nm. Partial least squares regression (PLSR) was applied for the calibration and validation for the determination of blood glucose. The calibration model from earlobe spectra presented better results, showing good correlation with a glucose oxidase method which is a mostly used standard method. This model predicted the glucose concentration for validation set with a SEP of 33 mg/dL. This study indicated the feasibility for non-invasive monitoring of blood glucose by a portable near infrared system.

• Journal of Electrochemical Science and Technology
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• 제15권1호
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• pp.32-50
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• 2024

Diabetes mellitus is one of the common chronic diseases, seriously threating to human health. The continuous monitoring of blood glucose concentration can effectively prevent diabetic diseases. The sensing performance of glucose non-enzymatic sensors is mainly determined by working electrode materials. Metal-organic frameworks (MOFs) are recognized as promising candidate for glucose sensor application, due to its large surface areas, ordered porous structure and nearly infinite designability. In this review, the sensing performance, research progress and future challenge of non-enzymatic glucose sensors based on MOF-based materials in recent years are presented. We hope that this review would provide valuable technology guidance for high performance non-enzymatic glucose sensors based on MOFs.

• 한국간호교육학회지
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• 제19권2호
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• pp.127-136
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• 2013

Purpose: The aim of the study was to evaluate the effect of self-monitoring of blood glucose (SMBG)-based Diabetes Self-Management Education (DSME) on glycemic control in type 2 diabetes. Methods: This study was designed to compare changes in glycemic control over 12months in SMBG-based DSME group (n=65) versus control group (n=65). Data were obtained from medical records type 2 diabetic patients treated with oral antidiabetic agents and above HbA1c 7.0% from June 2006 to August 2008. All participants completed DSME defined as informational intervention of lifestyle habits and reinforcement of educational Monthly News letter delivered by the diabetes nurse educator. SMBG-based DSME group requested to measure blood glucose 7 times a day for a week and to record their diary and received counseling with a focus on diet and lifestyle during the education. Assessments were conducted baseline, 3, 6 and 12 months. HbA1c was used as an index of glycemic control. Results: 12 months later, the level of HbA1c was reduced by $1.28{\pm}1.68%$ in experimental group and $0.49{\pm}1.05%$ in the control group. We found a significant effect of $Time^*$ Group interaction (p=.013). Conclusion: SMBG-based DSME for patients with type 2 diabetes with oral antidiabetic agents was effective in improving glycemic control and maintaining long-term glycemic control.

• 한국전자파학회논문지
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• 제28권4호
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• pp.279-285
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• 2017

본 연구는 인체 귓불 생체조직을 유전체로 하는 평행판 커패시터를 이용한 새로운 방식의 공진기를 제안하였으며, 비 침습 방식으로 준 마이크로파 신호를 이용하여 생체조직의 혈당변화를 관찰할 수 있는 가능성을 연구하였다. 공진기는 마이크로스트립 선로의 접지면을 활용하여 용량성 슬롯(inductive slot)과 연결된 평행판 커패시터로 구성된다. 커패시터 도체판은 인체조직을 가상한 팬텀 박스(phantom box)를 포함한다. 시뮬레이션을 토대로 제안된 공진기를 설계하여 제작하였다. 혈당 농도 수준변화를 3단계(0, 250, 500 mg/dL)에서 실험하였고, 반사계수($S_{11}$)가 측정되었다. 100 이상의 높은 Q 값을 갖는 공진기를 통해, 900 MHz 대역 부근에서 250 mg/dL의 농도 수준변화 대비 약 9 MHz의 주파수 천이가 관찰되어 혈당 센서에 적용 가능성을 입증하였다.

• 분석과학
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• 제11권1호
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• pp.47-53
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• 1998

본 연구는 당뇨병 진단방법의 개선을 위하여 채혈을 직접적으로 하지 않고 혈당을 측정할 수 있도록 하기 위하여 근적외선 분광법을 적용하였다. 본 연구를 위하여 근적외선 분광법을 이용하여 1 mg/dL에서 200 mg/dL 사이의 표준 시료 80개 글루코오스 흡수 스팩트럼을 측정하고 이를 정량하여 표준 농도와의 상관관계를 비교하였을 때 1.8 mg/dL 오차범위에서 매우 우수하였다. 그리고 실제 혈액중에 존재할 수 있는 전해질 및 피부에 의한 산란의 영향을 연구하였을 때 모두 2.8 mg/dL 및 3.8 mg/dL의 표준오차를 나타내었다. 특히 실제 피부에 적용하기 위하여 검량곡선에 비직선성을 유발하는 빛의 산란 현상에 관한 모델링을 통하여 정확도를 향상시키는 통계적인 방법을 제시하였다.

• 한국광학회:학술대회논문집
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• 한국광학회 2005년도 하계학술발표회
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• pp.296-297
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• 2005

• 한국임상수의학회지
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• 제15권2호
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• pp.291-302
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• 1998

Four out of 15 dogs were successfully induced diabetes mellitus with intravenous iqiection of 30 mg of streptozotgin and 50 mg of alloxan monohydrate per kilogram body weight and maintained more than 9 weeks without iqiection of insulin or oral hypoglycemic sgent Histopathologicallyi these four dogs have typical diabetic lesions such as degeneration and vacuolation of pancreatic islet cells, and fatty change of liver at necropsy in the end of study. Serum glucose level increased dramatically at 24 hours post-injection but serum fructosamine level increased gradually and reached plateau at 31-41 days post-injection of streptozotocin and alloxan. Serum fructosamine concert%lion correlated very well with serum glucose concentration of preceding 4-7 weeks in experimentally induced diabetic dogs. Our data suggest that serum fructosamine reflects mean glucose concentration of preceding 4-7 weeks in experimentally induced diabetic dogs.

• 한국임상약학회지
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• 제20권3호
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• pp.183-192
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• 2010

While Self-monitoring of blood glucose (SMBG) has been recommended in some diabetes mellitus (DM) patients population according to the 2010 American Diabetes Association (ADA), 2007 Korean Diabetes Association (KDA), 2005 International Diabetes Federation guideline, it is excluded from a routine insurance coverage for outpatients in Korea. The objective of this study is to meta-analyze the impact of SMBG on HbA1c in non insulin-treated diabetes mellitus (NIT) DM patients. Published clinical literatures were identified through electronic database searches from inception and until May 2010. Studies were selected if they met the following inclusion criteria: 1) randomized controlled trials (RCTs), 2) comparing SMBG with non-SMBG in NIT type 2 diabetes, 3) measuring HbA1c as an outcome. Literature qualities were assessed by the Scottish Intercollegiate Guidelines Network Checklist. The mean difference of HbA1c between the 2 groups was pooled from non-heterogeneous 6 RCTs by meta-analysis using Review Manger (RevMan) Version 5.0 program. Pooled results demonstrated that SMBG is associated with a statistically significant improvement in glycemic control (mean HbA1c difference -0.23, 95%CI -0.32, -0.13). Sensitivity analysis showed that glycemic controls were significantly improved in patients with shorter study duration, more frequent self-monitoring, higher baseline HbA1c value, and without prior SMBG experiences. Conclusively SMBG is effective in improving glycemic control in NIT DM patients, but additional evidences from further researches in Korean patients and cost-effectiveness analysis would be necessary to make a suggestion for coverage expansion.